Someone leaving is owed straightforwardness. This template is deliberately plain — no gradients, no cheer — and asks the reason, the agreement grid and the one thing they would change.
- Questions
- 7 — 1 required
- Format
- Multi-step
- Theme
- Mono, changeable to any of the 22
- Cost
- Free, with no cap on responses
Before you go
What's the main reason you're leaving?
Would you tell us more?
Looking back, how much do you agree?
What did we get right?
What would you change?
+ 2 more questions
7 questions · Multi-step · Mono theme
The questions it asks
- What's the main reason you're leaving?*
- Would you tell us more?
- Looking back, how much do you agree?
- What did we get right?
- What would you change?
- Would you consider working here again?
- How likely are you to recommend us as a place to work?
Every question in the template, in order. An asterisk marks a required one — edit, reorder or remove any of them after you open it.
When to use it
- Voluntary exits
- End of contract
- Restructures
- Alumni feedback
Or dress it differently
It ships in Mono. Switching theme restyles the whole form — type, spacing, field shape and background together — and takes one click.
- Mono
- Classic
- Signal
- Matrix
- Soft
- Aurora
- Clinic
- Sunny
Frequently asked questions
Is it anonymous?
The ending makes clear it goes to HR rather than their manager — and you can remove the name field entirely.
Why does it look so plain?
Because a cheerful design asking why someone quit reads as tone-deaf. The plainness is the design decision.
Is it free?
Yes.
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